Inpatient obesity intervention with postdischarge telephone follow‐up: A randomized trial. Issue 8 (23rd May 2014)

• Record Type: Journal Article
• Authors: Wachsberg, Kelley N.; Creden, Amanda; Workman, Moira; Lichten, Abbey; Basil, Alka; Lee, Jungwha; Peng, Jie; Williams, Mark V.; Kushner, Robert F.
• Is Part Of: Journal of hospital medicine. Volume 9:Issue 8(2014)
• Page Start: 515
• Page End: 520
• Publication Date: 2014-05-23
• Subjects: Hospital care -- Periodicals; Clinical medicine -- Periodicals; 610
• DOI: 10.1002/jhm.2215
• Languages: English
• ISSNs: 1553-5592

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="jhm2215-sec-0001" sec-type="section"> <title>BACKGROUND</title> <p>Obesity‐related comorbidities frequently contribute to acute illness. Obesity interventions during hospitalization are not often utilized but may be effective.</p> </sec> <sec id="jhm2215-sec-0002" sec-type="section"> <title>OBJECTIVE</title> <p>To examine whether inpatient weight loss intervention with postdischarge follow‐up results in weight loss at 6 months when compared to control.</p> </sec> <sec id="jhm2215-sec-0003" sec-type="section"> <title>DESIGN</title> <p>Prospective, randomized controlled trial.</p> </sec> <sec id="jhm2215-sec-0004" sec-type="section"> <title>SETTING</title> <p>Academic medical center in Chicago, Illinois.</p> </sec> <sec id="jhm2215-sec-0005" sec-type="section"> <title>PATIENTS</title> <p>Obese adult inpatients.</p> </sec> <sec id="jhm2215-sec-0006" sec-type="section"> <title>INTERVENTION</title> <p>Intervention subjects viewed a weight education video, underwent personalized counseling, and set specific weight loss, dietary, and fitness goals prior to discharge. All participants were followed by phone over the subsequent 6 months. The trial was unblinded to participants, physicians, and investigators.</p> </sec> <sec id="jhm2215-sec-0007" sec-type="section"> <title>MEASUREMENTS</title> <p>Primary outcome was weight change between groups at 6 months. Weight change from baseline and waist‐to‐hip ratios (WHR) were also assessed.</p> </sec> <sec id="jhm2215-sec-0008" sec-type="section"> <title>RESULTS</title> <p>For 176 participants in the intention‐to‐treat analysis, mean baseline weight for the intervention group was 107.7 kg (standard deviation [SD] = 16.7) and 105.1 kg (SD = 17.4) for controls. Mean weight loss at 6 months was 1.08 kg (SD = 4.33) for intervention subjects and 1.35 kg (SD = 3.65) among controls. There was no significant difference in weight loss between groups at 6 months (<italic>P</italic> = 0.26). As‐treated analysis yielded similar results. There were no differences in WHRs between the intervention and control at 6 months (0.04 vs 0.04, <italic>P</italic> = 0.59).</p> </sec> <sec id="jhm2215-sec-0009" sec-type="section"> <title>CONCLUSIONS</title> <p>We found no difference in weight loss between the intervention and control groups at 6 months. <italic>Journal of Hospital Medicine</italic> 2014;9:515–520. © 2014 Society of Hospital Medicine</p> </sec> </abstract>